How much rates vary
Facilitymedian $3,311 · 10th to 90th $537 to $10,715Professionalmedian $1,349 · 10th to 90th $891 to $1,585
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $4,466.84 | Facility | None | $891.25 | $2,818.38 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,380.38 | $1,548.82 |
BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $12,882.50 | Facility | None | $3,090.30 | $4,570.88 | $12,882.50 |
BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,513.56 | $1,513.56 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,659.59 | Professional | None | $954.99 | $1,096.48 | $1,659.59 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,698.24 | Professional | None | $794.33 | $1,023.29 | $1,698.24 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $676.08 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $269.15 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,047.13 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,000.00 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $208.93 Typical High $229.09 | Professional | 55 · Aftercare only | $204.17 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $138.04 Typical High $154.88 | Professional | 56 · Pre-op care only | $134.90 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $977.24 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $933.25 | $977.24 | $1,071.52 |
Where Louisiana sits
The same service costs 11.0 times more in Maine than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
ME $16,718FL $1,518
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.